Chung, Chul Won

Chung, Chul Won is an individual health care provider with primary practice located at 252 Mchenry St , Burlington WI 53105-1828. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Chung, Chul Won can be contacted via phone (262) 767-6000.

Contact Information

Primary practice address
252 Mchenry St Burlington WI 53105-1828
Phone: (262) 767-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 74782-20 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 74782 Wisconsin

Profile Details

NPI number 1326533019
LBN Legal business name Chung, Chul Won
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2018
Last updated Nov 30th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326533019 NPPES
Wisconsin MEDICAID 100165130

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